So are patients on long-term metformin for type 2 diabetes and patients on long-term proton-pump inhibitors for reflux
B12 injections are needed when the gut cannot absorb dietary B12 properly, or when oral B12 alone is not enough to correct the deficiency
For type 2 diabetes management, the medication may be needed long-term as diabetes is a chronic condition requiring ongoing treatment, though some patients may be able to reduce or discontinue medication if significant weight loss and lifestyle modifications lead to remission of their diabetes
Systematic review of GLP-1 receptor agonists, dual, and triple co-agonists for weight loss in overweight or obese adults without diabetes
However, gastrointestinal disturbances can occasionally occur , particularly with certain formulations
Vivo Lifes plant-based liquid B12 supplement ticks all of those boxes